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下颌后牙自体移植:综述

Autotransplantation of the Lower Posterior Teeth: A Comprehensive Review.

作者信息

Algubeal Hussain M, Alanazi Abdullah F, Arafat Abdulaziz S, Fatani Bader, Al-Omar Ahmad

机构信息

Dentistry, College of Dentistry, King Saud University, Riyadh, SAU.

Surgery, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2022 Aug 11;14(8):e27875. doi: 10.7759/cureus.27875. eCollection 2022 Aug.

DOI:10.7759/cureus.27875
PMID:36110461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9462596/
Abstract

A new era in modern dentistry has emerged where tooth loss is no longer an issue as a result of rapid advancements in implantation and alveolar ridge reconstruction. Despite its wide range of indications, autotransplantation is dependent upon careful patient selection and a suitable technique to ensure successful results both functionally and aesthetically. It is possible to restore physiological occlusion, aesthetics, and masticatory function by varying implant length, diameter, surface, and design, along with autogenous, alogenous, alloplastic, or xenogenous bone substitutes. However, none of the technologies that are used in implant dentistry today can adapt to a child's growing jaw during adolescence. Thus, the young age of the patient restricts implants and creates a challenge for dentists wishing to replace missing teeth. Therefore, tooth autotransplantation can be a good option for treatment. Our objective in this review is to highlight the biological principles required for the successful autotransplantation of teeth. Limits, indications, and prognoses will be analyzed. Hopefully, with increased awareness and acceptance in the dental profession, autotransplantation will become another viable treatment option for those with compromised teeth who still have significant growth potential.

摘要

现代牙科的一个新时代已经出现,由于种植牙和牙槽嵴重建技术的迅速发展,牙齿缺失不再是一个问题。尽管自体移植有广泛的适应症,但它依赖于仔细的患者选择和合适的技术,以确保在功能和美观方面都能取得成功的结果。通过改变种植体的长度、直径、表面和设计,以及自体、异体、人工合成或异种骨替代物,可以恢复生理咬合、美观和咀嚼功能。然而,当今种植牙科所使用的任何技术都无法适应青少年时期儿童颌骨的生长。因此,患者的年轻年龄限制了种植牙的使用,并给希望替换缺失牙齿的牙医带来了挑战。因此,牙齿自体移植可能是一种很好的治疗选择。我们这篇综述的目的是强调牙齿成功自体移植所需的生物学原理。将分析其局限性、适应症和预后。希望随着牙科行业对其认识和接受度的提高,自体移植将成为那些牙齿受损但仍有显著生长潜力的患者的另一种可行治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7426/9462596/2edb017ae5a6/cureus-0014-00000027875-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7426/9462596/bdc348d48f39/cureus-0014-00000027875-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7426/9462596/2edb017ae5a6/cureus-0014-00000027875-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7426/9462596/bdc348d48f39/cureus-0014-00000027875-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7426/9462596/2edb017ae5a6/cureus-0014-00000027875-i02.jpg

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1
Autotransplantation of the Lower Posterior Teeth: A Comprehensive Review.下颌后牙自体移植:综述
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引用本文的文献

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Tooth Autotransplantation in Contemporary Dentistry: A Narrative Review of Its Clinical Applications and Biological Basis.当代牙科中的牙齿自体移植:其临床应用与生物学基础的叙述性综述
J Clin Med. 2025 Sep 4;14(17):6249. doi: 10.3390/jcm14176249.
2
Survival outcomes of third molar autotransplantation according to impaction severity: a retrospective cohort study.根据阻生严重程度分析第三磨牙自体移植的生存结局:一项回顾性队列研究
J Korean Assoc Oral Maxillofac Surg. 2025 Aug 31;51(4):198-204. doi: 10.5125/jkaoms.2025.51.4.198.
3
Unusual Indications of Teeth Transplantation: A Literature Review.

本文引用的文献

1
Autotransplantation of the Third Molar: A Therapeutic Alternative to the Rehabilitation of a Missing Tooth: A Scoping Review.第三磨牙自体移植:缺失牙修复的一种治疗选择:一项范围综述
Bioengineering (Basel). 2021 Sep 2;8(9):120. doi: 10.3390/bioengineering8090120.
2
Third Molar Autotransplantation: An Alternative to Dental Implant - 9 Years Follow up of a Case.第三磨牙自体移植:种植牙的一种替代方案——1例患者的9年随访
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):529-532. doi: 10.4103/ams.ams_237_19. Epub 2020 Dec 23.
3
Autotransplantation of a mandibular third molar, using a customized reservoir.
牙齿移植的特殊适应症:文献综述
Cureus. 2022 Sep 11;14(9):e29030. doi: 10.7759/cureus.29030. eCollection 2022 Sep.
4
Should we predict poor prognosis in autotransplantation of teeth with completed root formation?对于牙根已完全形成的牙齿自体移植,我们是否应该预测其预后不良?
Ann Med Surg (Lond). 2022 Aug 25;81:104501. doi: 10.1016/j.amsu.2022.104501. eCollection 2022 Sep.
使用定制储液器进行下颌第三磨牙的自体移植。
J Conserv Dent. 2020 Mar-Apr;23(2):206-210. doi: 10.4103/JCD.JCD_246_20. Epub 2020 Nov 5.
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Dynamic measurement of orthodontic force using a tooth movement simulation system based on a wax model.基于蜡模型的牙移动模拟系统的正畸力动态测量。
Technol Health Care. 2021;29(3):457-466. doi: 10.3233/THC-202451.
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Clinical procedures and outcome of surgical extrusion, intentional replantation and tooth autotransplantation - a narrative review.外科撬出、再植术和牙自体移植术的临床操作和结局——叙述性综述。
Int Endod J. 2020 Dec;53(12):1636-1652. doi: 10.1111/iej.13396. Epub 2020 Sep 30.
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Autotransplantation of teeth as an alternative to dental implantation.牙自体移植作为牙种植的一种替代方法。
BMJ Case Rep. 2020 Jun 11;13(6):e234889. doi: 10.1136/bcr-2020-234889.
7
Posterior tooth autotransplantation: a case series.后牙自体移植:病例系列研究。
Aust Dent J. 2021 Mar;66(1):85-95. doi: 10.1111/adj.12757. Epub 2020 May 10.
8
Autotransplantation of third molars: a literature review and preliminary protocols.第三磨牙自体移植:文献回顾与初步方案。
Br Dent J. 2020 Feb;228(4):247-251. doi: 10.1038/s41415-020-1264-9.
9
Autotransplantation of mature impacted tooth to a fresh molar socket using a 3D replica and guided bone regeneration: two years retrospective case series.利用 3D 复制体和引导骨再生技术将成熟埋伏阻生牙自体移植至新鲜磨牙牙槽窝:两年回顾性病例系列研究。
BMC Oral Health. 2019 Nov 14;19(1):248. doi: 10.1186/s12903-019-0945-8.
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Long-term Outcomes of Autotransplantation of Teeth: A Case Series.自体牙移植的长期疗效:病例系列研究。
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